Childrens Medical Center

Primary specialty

Special HospitalTaxonomy code 284300000X

License

11958 Issued in AL

Legal business name

CHILDRENS MEDICAL CENTER

Doing business as

Phillip M Phillips Jr MD

Practice address

1800 Rice Mine Rd N
Tuscaloosa, AL 35406-2383

Phone

(205) 345-2677

Fax

(205) 345-2679

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karla Puckett

Title

Insurance

Phone

(205) 345-2677

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Phillip M Phillips Jr MD Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Morgan Phillips Jr., M.D.

  • Pediatrics Physician
  • Tuscaloosa, AL
  • NPI 1639225832
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1629238456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RICE MINE RD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062383",
            "telephone_number": "205-345-2677",
            "fax_number": "205-345-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RICE MINE RD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062383",
            "telephone_number": "205-345-2677",
            "fax_number": "205-345-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "205-345-2677"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "AL",
            "license": "11958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558700000",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16427",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillip M Phillips Jr MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Tochukwu Chiedo, MD
• Melanie Brooke Childers, LPC
• Children and Teen Dental Group of Alabama
• Children and Teen Dental Group of Alabama
• Children and Teen Ortho Group of Alabama
• Jennifer Gilmore Childress, DBH, LAT, ATC
• Lameka Lashae Childress, LICSW
• Hanseek Choi, M.D.
• Abimbola Chris-Olaiya, MD
• Blake Christensen, PHARMD

• Special Hospital in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Special Hospital in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.